ClinicalTrials.gg
TerminatedNCT03386721Updated Feb 21, 2023Results posted

Basket Study to Evaluate the Therapeutic Activity of Simlukafusp Alfa as a Combination Therapy in Participants With Advanced and/or Metastatic Solid Tumors

A Phase 2 interventional study of simlukafusp alfa and Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody in Advanced/Metastatic Head and Neck, Oesophageal and Cervical Cancers, sponsored by Hoffmann-La Roche. Terminated at 44 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-21.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

Why this study was terminated
The Sponsor discontinued the development of Simlukafusp alfa due to portfolio prioritization, not due to any safety, efficacy, or quality issues.

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Phase
Phase 2
Study type
Interventional
Enrollment
256
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 18 studies testing gemcitabine in Uterine Cervical Neoplasms — 4 open to participants now, 4 under way, 3 of them phase 3. Gemcitabine · Uterine Cervical Neoplasms.

Enrollment
6th of 16
256 · median 95
Started
2018
with 1 other
Phase 2
6 of 18
1 open now
Registered
15th of 18
by date
Lead sponsor
1 of 18
Hoffmann-La Roche

Among the 18 studies testing gemcitabine in Uterine Cervical Neoplasms, this one is the 6th largest by enrollment of the 16 interventional ones that give a count, is one of 2 that started in 2018, is one of 6 in phase 2, and was the 15th registered.

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

Browse Uterine Cervical Neoplasms studies →

Open to participants now

4 of the 18 studies testing gemcitabine in Uterine Cervical Neoplasms are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

About gemcitabine

Gemcitabine: first FDA approval 1996 (GEMZAR). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 474 Uterine Cervical Neoplasms studies recruiting now, 243 (51%) set no upper age limit and 191 (40%) stop at 75 or younger; 20 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies testing gemcitabine in Uterine Cervical Neoplasms, or all of them as a file.
02

Study summary

This is an open-label, multicenter, basket trial Phase II study to evaluate the antitumor activity of simlukafusp alfa in combination with atezolizumab in participants with advanced and/or metastatic solid tumors. Currently the focus is on participants with Head and Neck, oesophageal and cervical cancers with confirmed squamous cell carcinoma histology type.

03

Conditions studied

  • Advanced/Metastatic Head and Neck, Oesophageal and Cervical Cancers
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants who have progressed on at least one previous regimen of anticancer therapy (chemotherapy, mutation targeted therapy, and/or CPI therapy)
  • , as defined by Version 1.1
  • (ECOG) Performance Status 0 or 1 or Performance Score greater than or equal to (>=) 70
  • of >=12 weeks
  • Confirmed at least one tumor lesion with location accessible to safely per clinical judgment of the treating physician.

Biopsies are not applicable to participants in Cohorts G, H, K, and L presenting with a single target lesion and absence of any non-target lesion.

  • Consent to provide an archival tumor tissue sample (if available, applicable to all participants)
  • Willingness to undergo baseline and on-treatment tumor biopsies for pharmacodynamics (PD) biomarker analysis (biopsies are optional for Cohort A)
  • Adequate cardiovascular function as defined in the study protocol
  • AEs related to any previous radiotherapy, chemotherapy, or surgical procedure must have resolved to Grade less than or equal to (\<=) 1, except alopecia (any grade) and Grade 2 peripheral neuropathy
  • Adequate haematological, liver, and renal functions.
  • Participants with unilateral pleural effusion (indications other than NSCLC) are eligible if they fulfill both of the following:

    1. Class 1
    2. Forced expiratory volume 1 () and forced vital capacity (FVC) >70% of predicted value; participants with lung should present with DLCO >60% of predicted value.
  • Participants with Gilbert's syndrome will be eligible for the study
  • Participants must have had confirmed diagnosis of recurrent or metastatic squamous cell carcinoma head and neck, or esophageal cancer or metastatic, persistent or recurrent squamous cervical cancer.

Exclusion criteria

Exclusion Criteria:

  • Symptomatic or untreated central nervous system (CNS)
  • History of treated asymptomatic as described in the protocol
  • Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for >=2 weeks before enrollment
  • An active second
  • Penetrating tumor infiltration
  • Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results
  • Episode of significant cardiovascular/cerebrovascular acute disease within 6 months before study treatment administration
  • History of significant vascular disease (for example, aortic aneurysm, aortic dissection)
  • Active or uncontrolled infections
  • (HIV) or Active Hepatitis A, B, C, D or E infection (HAV///HDV/HEV).
  • Severe infection within 4 weeks before study treatment administration including, but not limited to, hospitalization for complications of infection, bacteremia, or severe pneumonia.
  • History of chronic liver disease or evidence of hepatic cirrhosis
  • Dementia or altered mental status that would prohibit
  • History of, active or suspicion of disease
  • History of idiopathic pulmonary fibrosis, pneumonitis (including drug-induced), organizing pneumonia (bronchiolitis obliterans, cryptogenic organizing pneumonia, etc.), or evidence of active pneumonitis on screening chest computed tomography (CT) scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
  • Bilateral pleural effusion confirmed by X-ray
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding that give reasonable suspicion of a disease or condition that would contraindicate the use of an drug
  • Concurrent therapy with any other investigational drug
  • Immunomodulating agents as described in study protocol
  • Chronic use of
  • Last dose with any cytostatic treatments \< 28 days before study treatment administration
  • Radiotherapy within the last 4 weeks before start of study treatment administration, with the exception of limited field palliative radiotherapy
  • Administration of a live, attenuated vaccine within 4 weeks before Cycle 1 Day 1 or at any time during the study and 5 months after the last dose of atezolizumab
  • Major surgery or significant traumatic injury \<28 days before study treatment administration (excluding fine needle ) or if wound healing has not completed after surgery or anticipation of the need for major surgery during study treatment
  • Known to any of the components of the simlukafusp alfa drug product or atezolizumab drug product
  • Severe dyspnea at rest or requiring supplementary oxygen therapy Locally curative options are available for participant's disease.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
256 participants (actual)

Study arms

  • Experimental
    Cohort A (Part I)

    Checkpoint Inhibitor (CPI)-Naïve Participants with non-small-cell lung cancer (NSCLC) who have not received CPI therapy previously will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: collection of fresh tumor biopsies (at baseline and on-treatment) will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort B (Part I)

    CPI-Experienced Participants (NSCLC) who have received CPI therapy previously will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort C (Part I)

    This is a mandatory biopsy cohort based on the treatment's safety and preliminary activity analysis to enroll CPI-Naive Participants. Participants (NSCLC) will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort D Arm I (Part I)

    CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel. Participants will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort D Arm 2 (Part I)

    CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel. Participants will receive simlukafusp alfa intravenous (IV) infusion once in 3 weeks (Q3W) up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q3W at a dose of 1200 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort D Arm 3 (Part I)

    CPI Experienced Participants (NSCLC) who were previously treated with platinum and docetaxel will receive a single-agent gemcitabine or vinorelbine as per approved protocol. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: Gemcitabine · Drug: Vinorelbine

  • Experimental
    Cohort E Arm I (Part II)

    This cohort will enroll participants (NSCLC) with High-Tumor PD-L1 Expression who have not received any prior systemic therapy. Participants will receive simlukafusp alfa intravenous (IV) infusion once in a week (QW) for first 5 doses, and once in 2 weeks (Q2W) for remaining doses up to maximum 36 months. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered in combination Q2W at a dose of 840 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort E Arm 2 (Part II)

    This cohort will enroll participants (NSCLC) with High-Tumor PD-L1 Expression who have not received any prior systemic therapy. Participants will receive simlukafusp alfa IV infusion in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: 2 mandatory fresh tumor biopsies, one at baseline and one on-treatment, will be collected. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort F (Part I)

    CPI-experienced, docetaxel naive participants (NSCLC) who experienced disease progression during or following treatment with a platinum - containing regimen. Participants will receive combination of simlukafusp alfa and atezolizumab in a Q3W schedule. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort G (Part III)

    CPI-naïve SCC of the head and neck (SCCHN) (20 response-evaluable participants), mandatory biopsies. Participants in cohort G Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort H (Part III)

    Previously treated, CPI-experienced squamous cell carcinoma head and heck cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort H Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort I (Part III)

    Previously treated, CPI-naïve squamous esophageal cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort I Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort J (Part III)

    Previously treated, CPI-naïve squamous cervical cancer (20 response evaluable participants): mandatory biopsy. Participants in cohort J Part III will receive simlukafusp alfa Q3W in combination with atezolizumab Q3W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 1200 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort K (Part III)

    CPI-naïve SCC of the head and neck (SCCHN) (20 response-evaluable participants), mandatory biopsies. Participants in cohort K Part III will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort L (Part III)

    Previously treated, CPI-experienced squamous cell carcinoma head and neck cancer (20 response evaluable participants), mandatory biopsies. Participants in cohort L Part III will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional. Biopsies are not applicable to participants presenting with a single target lesion and absence of any non-target lesion.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort M (Part III)

    Esophageal SCC participants will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

  • Experimental
    Cohort N (Part III)

    Cervical SCC participants will receive simlukafusp alfa QW in combination with atezolizumab Q2W for 4 weeks followed by simlukafusp alfa in combination with atezolizumab Q2W. Simlukafusp alfa will be administered at a 10 mg flat dose. Atezolizumab IV infusion will be administered at a dose of 840 mg. Tumor biopsies: one mandatory fresh tumor biopsy will be collected at baseline. Additional on-treatment biopsies will be optional.

    Drug: simlukafusp alfa · Drug: Atezolizumab (MPDL3280A), an Engineered Anti-PD-L1 Antibody

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

    ORR was defined as the percentage of participants with observed tumor response of complete response (CR), or partial response (PR) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The percentages of participants are rounded off to the nearest single decimal point.

    Time frame: Baseline up to disease progression or study treatment discontinuation (up to 38 months)

Secondary outcomes

  1. Percentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.1

    DCR was defined as the percentage of participants with observed tumor response of CR, PR or stable disease (SD) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline (nadir). The percentages of participants are rounded off to the nearest single decimal point.

    Time frame: Baseline up to disease progression or study treatment discontinuation (up to 38 months)

  2. Duration of Response (DoR) According to RECIST Version 1.1

    DoR was determined for participants who had a best overall response of CR or PR. CR was defined as the disappearance of all target lesions with a reduction in target/non-target pathological lymph nodes to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. DoR was defined as the time from first occurrence of a documented objective response until the time of documented disease progression or death from any cause during treatment, whichever occurs first. Participants that did not have documented progressive disease or death during the study were censored at the day of the last tumor assessment.

    Time frame: From first occurrence of documented CR or PR up to disease progression or study treatment discontinuation (assessed every 8 weeks after study treatment start for the first year, and every 12 weeks thereafter, up to 38 months)

  3. Progression-Free Survival (PFS) According to RECIST Version 1.1

    PFS was defined as the time from study treatment initiation (Cycle 1 Day 1 \[1 cycle=14 days for QW/Q2W cohorts; 1 cycle=21 days for Q3W cohorts\]) to the first occurrence of documented disease progression (based on Investigator's assessment) or death from any cause during treatment, whichever occurs first. Participants that did not have documented progressive disease or death during the study were censored at the day of the last tumor assessment.

    Time frame: Study treatment initiation up to disease progression or study treatment discontinuation (up to 38 months)

  4. Overall Survival (OS)

    OS was defined as the time from the first dose of study treatment to the time of death from any cause on study. Participants who were still alive at the time of analysis were censored at the last date known alive.

    Time frame: From first dose of study treatment up to death due to any cause (up to approximately 47 months)

  5. Percentage of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Baseline up to end of the study (up to approximately 47 months)

  6. Percentage of Participants by Programmed Death-Ligand 1 (PD-L1) Status According to Immunohistochemical Methods

    Time frame: Baseline

  7. Change From Baseline in Density of Cluster of Differentiation (CD) 8 Positive (CD8+) Cells According to Immunohistochemical Methods

    Time frame: Baseline up 2 months

  8. Change From Baseline in Density of Cluster of Differentiation 3 Negative (CD3-) Perforin Positive Cells According to Immunohistochemical Methods

    Time frame: Baseline up to 2 months

  9. Change From Baseline in Density of PD-L1 According to Immunohistochemical Methods

    Time frame: Baseline up to 2 months

07

Results

Posted Feb 21, 2023

Participant flow

Participants took part in the study at 42 investigative sites in Belgium, France, Germany, Israel, Korea, New Zealand, Poland, Russia, Singapore, Spain, Switzerland, Taiwan, Turkey, United Kingdom, USA from 19 February 2018 to 30 December 2021

Participant flow — Overall Study
MilestoneNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Started26323522232233033472521
Response evaluable population26323502132222832442521
Completed410001001026000
Not completed22313522132223031412521
Withdrew: Death12212511211122021211421
Withdrew: Lost to follow-up130002101210000
Withdrew: Reason not specified300003100126100
Withdrew: Progressive disease001001002110100
Withdrew: Site terminated by sponsor5500130145311600
Withdrew: Symptomatic deterioration000000001001000
Withdrew: Withdrawal by subject120000002132300

Outcome measures

PrimaryPercentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

ORR was defined as the percentage of participants with observed tumor response of complete response (CR), or partial response (PR) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The percentages of participants are rounded off to the nearest single decimal point.

Time frame:
Baseline up to disease progression or study treatment discontinuation (up to 38 months)
Reported as:
Number · percentage of participants
Percentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
percentage of participantsNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Percentage of Participants With Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.119.2 (8.51 to 37.88)6.3 (1.73 to 20.15)0 (0.00 to 56.15)0 (0.00 to 43.45)—4.8 (0.85 to 22.67)66.7 (20.77 to 93.85)50.0 (9.45 to 90.55)18.2 (7.31 to 38.52)3.6 (0.63 to 17.71)21.9 (11.02 to 38.75)27.3 (16.35 to 41.85)4.0 (0.71 to 19.54)0 (0.00 to 65.76)0 (0.00 to 79.35)
SecondaryPercentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.1

DCR was defined as the percentage of participants with observed tumor response of CR, PR or stable disease (SD) determined according to RECIST version 1.1. CR was defined as the disappearance of all target lesions with reduction in target/non-target pathological lymph nodes to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline (nadir). The percentages of participants are rounded off to the nearest single decimal point.

Time frame:
Baseline up to disease progression or study treatment discontinuation (up to 38 months)
Reported as:
Number · percentage of participants
Percentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.1
percentage of participantsNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Percentage of Participants With Disease Control Rate (DCR) Determined According to RECIST Version 1.153.8 (35.46 to 71.24)62.5 (45.25 to 77.07)0 (0.00 to 56.15)20.0 (3.62 to 62.45)—57.1 (36.55 to 75.53)66.7 (20.77 to 93.85)50.0 (9.45 to 90.55)50.0 (30.72 to 69.28)14.3 (5.70 to 31.49)43.8 (28.17 to 60.67)68.2 (53.44 to 80.00)36.0 (20.25 to 55.48)50.0 (9.45 to 90.55)0 (0.00 to 79.35)
SecondaryDuration of Response (DoR) According to RECIST Version 1.1

DoR was determined for participants who had a best overall response of CR or PR. CR was defined as the disappearance of all target lesions with a reduction in target/non-target pathological lymph nodes to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. DoR was defined as the time from first occurrence of a documented objective response until the time of documented disease progression or death from any cause during treatment, whichever occurs first. Participants that did not have documented progressive disease or death during the study were censored at the day of the last tumor assessment.

Time frame:
From first occurrence of documented CR or PR up to disease progression or study treatment discontinuation (assessed every 8 weeks after study treatment start for the first year, and every 12 weeks thereafter, up to 38 months)

No measurements were reported for this outcome.

SecondaryProgression-Free Survival (PFS) According to RECIST Version 1.1

PFS was defined as the time from study treatment initiation (Cycle 1 Day 1 \[1 cycle=14 days for QW/Q2W cohorts; 1 cycle=21 days for Q3W cohorts\]) to the first occurrence of documented disease progression (based on Investigator's assessment) or death from any cause during treatment, whichever occurs first. Participants that did not have documented progressive disease or death during the study were censored at the day of the last tumor assessment.

Time frame:
Study treatment initiation up to disease progression or study treatment discontinuation (up to 38 months)
Reported as:
Median · months
Progression-Free Survival (PFS) According to RECIST Version 1.1
monthsNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Progression-Free Survival (PFS) According to RECIST Version 1.13.5 (1.7 to 7.4)3.7 (3.1 to 5.2)2.0 (1.7 to NA)2.0 (1.9 to NA)—3.5 (1.9 to 5.5)NA (2.6 to NA)10.5 (1.9 to NA)2.5 (1.8 to 5.6)1.9 (1.8 to 1.9)1.9 (1.8 to 3.7)3.7 (3.3 to 9.0)1.9 (1.6 to 3.2)2.6 (1.6 to NA)1.9 (NA to NA)
SecondaryOverall Survival (OS)

OS was defined as the time from the first dose of study treatment to the time of death from any cause on study. Participants who were still alive at the time of analysis were censored at the last date known alive.

Time frame:
From first dose of study treatment up to death due to any cause (up to approximately 47 months)
Reported as:
Median · months
Overall Survival (OS)
monthsNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Overall Survival (OS)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)—NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)
SecondaryPercentage of Participants With Adverse Events (AEs)

An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame:
Baseline up to end of the study (up to approximately 47 months)
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Events (AEs)
percentage of participantsNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
Percentage of Participants With Adverse Events (AEs)100100100100100100100100100100100100100100100
SecondaryPercentage of Participants by Programmed Death-Ligand 1 (PD-L1) Status According to Immunohistochemical Methods
Time frame:
Baseline

No measurements were reported for this outcome.

SecondaryChange From Baseline in Density of Cluster of Differentiation (CD) 8 Positive (CD8+) Cells According to Immunohistochemical Methods
Time frame:
Baseline up 2 months

No measurements were reported for this outcome.

SecondaryChange From Baseline in Density of Cluster of Differentiation 3 Negative (CD3-) Perforin Positive Cells According to Immunohistochemical Methods
Time frame:
Baseline up to 2 months

No measurements were reported for this outcome.

SecondaryChange From Baseline in Density of PD-L1 According to Immunohistochemical Methods
Time frame:
Baseline up to 2 months

No measurements were reported for this outcome.

Adverse events

Collected over Baseline up to end of the study (up to approximately 47 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NSCLC: Part I Cohort A (QW/Q2W)12/26 (46.2%)13/26 (50%)25/26 (96.2%)
NSCLC: Part I Cohort B (QW/Q2W)21/32 (65.6%)25/32 (78.1%)32/32 (100%)
NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)3/3 (100%)0/3 (0%)3/3 (100%)
NSCLC: Part I Cohort D, Arm 2 (Q3W)5/5 (100%)3/5 (60%)5/5 (100%)
NSCLC: Part I Cohort D, Arm 3 (Q3W)1/2 (50%)2/2 (100%)2/2 (100%)
NSCLC: Part I Cohort F (Q3W)12/22 (54.5%)14/22 (63.6%)21/22 (95.5%)
NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)1/3 (33.3%)1/3 (33.3%)3/3 (100%)
NSCLC: Part II Cohort E, Arm 2 (Q3W)1/2 (50%)1/2 (50%)2/2 (100%)
SCCHN: Part III Cohort G (Q3W)14/23 (60.9%)15/23 (65.2%)23/23 (100%)
SCCHN: Part III Cohort H (Q3W)20/30 (66.7%)22/30 (73.3%)29/30 (96.7%)
ESCC: Part III Cohort I (Q3W)21/33 (63.6%)20/33 (60.6%)33/33 (100%)
CSCC: Part III Cohort J (Q3W)21/47 (44.7%)32/47 (68.1%)47/47 (100%)
SCCHN: Part III Cohort K (QW/Q2W)14/25 (56%)14/25 (56%)24/25 (96%)
ESCC: Part III Cohort M (QW/Q2W)2/2 (100%)1/2 (50%)2/2 (100%)
CSCC: Part III Cohort N (QW/Q2W)1/1 (100%)1/1 (100%)1/1 (100%)
Most frequent serious events
Showing 10 of 168
Most frequent serious events
EventNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
UROSTOMY COMPLICATIONInjury, poisoning and procedural complications0/260/320/30/50/20/220/30/20/230/300/330/470/250/21/1
DEVICE DISLOCATIONProduct Issues0/260/320/30/50/20/220/30/20/230/300/330/470/250/21/1
ACUTE KIDNEY INJURYRenal and urinary disorders0/261/320/30/50/20/220/30/21/230/302/332/470/250/21/1
URINARY TRACT OBSTRUCTIONRenal and urinary disorders0/260/320/30/50/20/220/30/20/230/300/330/470/250/21/1
ABDOMINAL PAIN UPPERGastrointestinal disorders0/260/320/30/51/20/220/30/20/230/300/330/470/250/20/1
RECTAL HAEMORRHAGEGastrointestinal disorders0/260/320/30/51/20/220/30/20/230/300/331/471/250/20/1
FATIGUEGeneral disorders0/261/320/30/50/20/220/31/20/231/300/330/470/250/20/1
PLEURAL INFECTIONInfections and infestations0/260/320/30/50/20/220/31/20/230/300/330/470/250/20/1
PNEUMONIA BACTERIALInfections and infestations0/260/320/30/50/20/220/30/20/230/300/330/470/251/20/1
INFUSION RELATED REACTIONInjury, poisoning and procedural complications0/263/320/32/50/20/221/31/22/233/301/337/474/250/20/1
Most frequent other events
Showing 10 of 140
Most frequent other events
EventNSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)
HYPERTHYROIDISMEndocrine disorders4/260/320/30/50/20/223/30/21/230/301/334/471/250/20/1
CONSTIPATIONGastrointestinal disorders2/263/320/31/50/22/220/30/25/234/306/336/470/252/20/1
NAUSEAGastrointestinal disorders11/2610/321/30/50/28/222/30/26/237/3013/3319/4711/250/21/1
VOMITINGGastrointestinal disorders10/267/321/31/50/211/220/30/25/235/303/3318/471/250/21/1
CHILLSGeneral disorders12/2612/321/32/50/29/221/30/26/2310/3012/3312/479/252/21/1
FATIGUEGeneral disorders14/2615/320/31/50/23/221/31/26/235/308/339/4711/250/21/1
PYREXIAGeneral disorders20/2629/323/35/51/215/222/31/218/2322/3026/3335/4721/252/21/1
BLOOD BILIRUBIN INCREASEDInvestigations6/266/320/30/50/21/223/30/25/232/306/3312/476/250/20/1
WEIGHT INCREASEDInvestigations0/260/320/30/50/20/220/30/20/230/300/330/470/250/21/1
BACK PAINMusculoskeletal and connective tissue disorders7/262/320/30/50/20/220/30/20/230/303/339/470/250/21/1

Baseline characteristics

Safety population included all participants who received at least one dose of study treatment, whether or not prematurely withdrawn from the study.

Age, Continuous
Age, Continuous(years)NSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)Total
Mean58.0 ± 10.559.8 ± 9.963.7 ± 3.865.6 ± 4.363.5 ± 4.957.4 ± 8.956.7 ± 0.668.0 ± 2.855.7 ± 12.858.8 ± 8.263.1 ± 9.651.3 ± 11.255.8 ± 11.767.0 ± 15.649.0 ± NA57.6 ± 10.8
Sex: Female, Male
Sex: Female, Male(Participants)NSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)Total
Female10101011110571047601110
Male1622251112218232301920146
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)Total
American Indian or Alaska Native0000000000000000
Asian95000510356051040
Native Hawaiian or Other Pacific Islander2000000010010004
Black or African American0100000001000002
White15263521722191622331801181
More than one race0000000000000000
Unknown or Not Reported000000000851321029
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)NSCLC: Part I Cohort A (QW/Q2W)NSCLC: Part I Cohort B (QW/Q2W)NSCLC: Part I Cohort D, Arm 1 (QW/Q2W)NSCLC: Part I Cohort D, Arm 2 (Q3W)NSCLC: Part I Cohort D, Arm 3 (Q3W)NSCLC: Part I Cohort F (Q3W)NSCLC: Part II Cohort E, Arm 1 (QW/Q2W)NSCLC: Part II Cohort E, Arm 2 (Q3W)SCCHN: Part III Cohort G (Q3W)SCCHN: Part III Cohort H (Q3W)ESCC: Part III Cohort I (Q3W)CSCC: Part III Cohort J (Q3W)SCCHN: Part III Cohort K (QW/Q2W)ESCC: Part III Cohort M (QW/Q2W)CSCC: Part III Cohort N (QW/Q2W)Total
Hispanic or Latino0100010001000003
Not Hispanic or Latino23283422032222127332311213
Not Stated12010100174921029
Unknown21000000012500011
08

Study locations

44 sites
  • University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
  • Cancer Treatment Centers of America
    Newnan, Georgia 30265, United States
  • UZ Antwerpen
    Edegem, 2650, Belgium
  • UZ Gent
    Gent, 9000, Belgium
  • UZ Leuven Gasthuisberg
    Leuven, 3000, Belgium
  • Institut Bergonie
    Bordeaux, 33076, France
  • Hopital Timone Adultes; Oncologie Medicale Et Usp
    Marseille, 13385, France
  • ICM; Medecine B3
    Montpellier cedex 5, 34298, France
  • Gustave Roussy Cancer Campus
    Villejuif, 94805, France
  • Universitätsklinikum Essen; Innere Klinik (Tumorforschung)
    Essen, 45147, Germany
  • Rambam Medical Center; Oncology
    Haifa, 3109601, Israel
  • Seoul National University Bundang Hospital
    Seongnam-si, 13620, Korea, Republic of
  • Severance Hospital, Yonsei University Health System
    Seoul, 003-722, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 03080, Korea, Republic of
  • Asan Medical Center
    Seoul, 05505, Korea, Republic of
  • Samsung Medical Center
    Seoul, 135-710, Korea, Republic of
  • Auckland City Hospital; Clinical Oncology
    Auckland, 1023, New Zealand
  • Uniwersyteckie Centrum Kliniczne; Osrodek Badan Wczesnych Faz
    Gda?sk, 80-214, Poland
  • Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie; Oddzial Badan Wczesnych Faz
    Warszawa, 02-781, Poland
  • N.N.Burdenko Main Military Clinical Hospital; Oncology Dept
    Moscow, 105229, Russian Federation
  • S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
    Saint-Petersburg, 197758, Russian Federation
  • National University Hospital; National University Cancer Institute, Singapore (NCIS)
    Singapore, 119228, Singapore
  • National Cancer Centre; Medical Oncology
    Singapore, 169610, Singapore
  • Clinica Universitaria de Navarra
    Pamplona, Navarra 31008, Spain
  • Hospital del Mar; Servicio de Oncologia
    Barcelona, 08003, Spain
  • Hospital Univ Vall d'Hebron; Servicio de Oncologia
    Barcelona, 08035, Spain
  • Clinica Universidad de Navarra Madrid; Servicio de Oncología
    Madrid, 28027, Spain
  • Hospital Ramon y Cajal; Servicio de Oncologia
    Madrid, 28034, Spain
  • START Madrid-FJD, Hospital Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • START Madrid. Centro Integral Oncologico Clara Campal; CIOCC
    Madrid, 28050, Spain
  • Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
    Valencia, 46010, Spain
  • Hôpitaux Universit. de Genève Médecine Oncologie; Oncologie
    Geneve, 1211, Switzerland
  • National Cheng Kung Uni Hospital; Dept of Hematology and Oncology
    Tainan, 704, Taiwan
  • National Taiwan Uni Hospital; Dept of Oncology
    Taipei, 100, Taiwan
  • Adana Baskent University Hospital; Medical Oncology
    Adana, 01120, Turkey
  • Akdeniz University Medical Faculty; Medical Oncology Department
    Antalya, 07070, Turkey
  • Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi
    Edirne, 22030, Turkey
  • Istanbul University Cerrahpa?a-Cerrahpa?a Medical Faculty; Medikal Onkoloji Departmani
    Istanbul, 34098, Turkey
  • ?zmir Medical Park; Onkoloji
    Izmir, Turkey
  • Goztepe Prof.Dr. Suleyman Yalcin City Hospital; Clinical Oncology
    Kadiköy, 34722, Turkey
  • Barts
    London, EC1M6BQ, United Kingdom
  • University College London Hospital
    London, N7 9NH, United Kingdom
  • Christie Hospital Nhs Trust; Medical Oncology
    Manchester, M2O 4BX, United Kingdom
  • Royal Marsden Hospital; Institute of Cancer Research
    Sutton, SM2 5PT, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Dec 2021, 46 months.

Results were first posted in Feb 2023, 1 year 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 22, 2017
First posted
Dec 29, 2017
StartActual
Feb 19, 2018
Primary completionActual
Dec 30, 2021
CompletionActual
Dec 30, 2021
Results first posted
Feb 21, 2023
Last update
Feb 21, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03386721
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Dec 29, 2017
Start date
Feb 19, 2018
Primary completion
Dec 30, 2021
Completion
Dec 30, 2021
Results posted
Feb 21, 2023
Last update
Feb 21, 2023

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Simlukafusp alfa · Gemcitabine · Vinorelbine

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